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Thought Leadership

When it comes to thought leadership and staying informed, we’ve got you covered. See below for recent articles, webinars, and downloadable resources available.

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3.15.20 MDS 3.0 Technical Updates

CMS Releases Updates to MDS 3.0 Technical Information

In response to State Medicaid Agency and stakeholder requests, CMS has updated the MDS 3.0 item sets (version 1.17.2) and related technical data specifications.  These changes will support the calculation […]

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CMS Announces Relief in Response to COVID-19

CMS Announces Relief from the Quality Reporting Program in Response to COVID-19

On March 22, 2020, the Centers for Medicare and Medicaid Services (CMS) announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality […]

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CMS_ COVID-19 Emergency Declaration for SNFs

CMS: COVID-19 Emergency Declaration for SNFs

The Federal Department of Health and Human Services issued an updated memo on COVID-19 protocols from Centers for Medicare & Medicaid Services (CMS) official, David Wright. The memo states: Facilities […]

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Hospitals to Provide Skilled Nursing Quality Data at Discharge per New Rule

Hospitals to Provide Skilled Nursing Quality Data at Discharge per New Rule

On September 29, 2019, CMS finalized a new rule focusing on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals and Home Health […]

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The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F) was published on September 26, 2019.  This rule finalizes the following provisions that were in the proposed rule changes.  The […]

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Blue & Co. PDPM HIPPS Rate Calculator

This calculator will compute the wage index adjusted individual daily rate and the cumulative total based upon paid SNF PDPM I/P Part A Medicare paid days for fiscal year 2020. […]

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CMS Update August 2019

CMS Updates Posted on August 30, 2019

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility […]

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CMS Final Rule under PPS for SNFs for FY 2020

CMS Final Rule under PPS for SNFs for FY 2020

CMS issued a proposed rule on July 30, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal […]

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Power of Data now unleashed by CMS pilot program_ Data at the Point of Care (DPC)

Power of Data now unleashed by CMS pilot program: Data at the Point of Care (DPC)

On July 30, 2019, CMS announced the Data at the Point of Care (DPC) pilot program. DPC will give clinicians that are participating in the pilot program access to claims […]

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CMS Update July 2019

CMS Update July 16, 2019

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule to reform the Medicare and Medicaid long-term care requirements that would provide changes and delay […]

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Webinar: Optimal Opportunities in PDPM

Webinar Recording: Optimal Opportunities in PDPM

Ever-changing regulations have brought new challenges and opportunities to Skilled Nursing Facilities. In this webinar, we explore key changes that are occurring and how to transform challenges into opportunities. Areas […]

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New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

A new Indiana law effective July 1, 2019, requires additional written disclosures and care planning to prospective residents. The law requires that health facilities provide a written disclosure to each […]

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CMS Proposed Rule for Updates to PDPM, QRP, & VBP for FY 2020

CMS issued proposed rule on April 25, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year […]

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Swing Beds: Medicare Regulatory and Program Design Changes You Need to Know

Swing Beds: Medicare Regulatory and Program Changes You Need to Know

Swing Bed Groundwork must be in place. CAH and PPS swing bed programs need to understand the reason behind the initiation of swing beds and the reliance on understanding skilled […]

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Five Star and Nursing Home Compare Changes Clarified

Five Star and Nursing Home Compare Changes Clarified

Centers for Medicare & Medicaid Services (CMS) issued a memorandum, about changes to the Five-Star Rating system on Nursing Home Compare that will go into effect in April 2019. CMS […]

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Webinars

The Importance of Therapy in a Post-RUG World

The Importance of Therapy in a Post-RUG World

Since October of 2019, the Patient Driven Payment Model, or PDPM, has been the payment system for Medicare Part A in Skilled Nursing Facilities. Prior to this, payment was made […]

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The 1-2-3 of Therapy: Importance of Communication with the Team

The 1-2-3 of Therapy: Importance of Communication with the Team

The Importance of Communication with the Team Medicaid is changing the way it pays for care in most states, but that doesn’t preclude us from treating patients and “providing care […]

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White Paper: SNFs Key Takeaways from the RAI Manual v1.20.1

White Paper: SNFs Key Takeaways from the RAI Manual v1.20.1

Executive Summary The Centers for Medicare & Medicaid Services (CMS) has released the final version of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual v1.20.1. This […]

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How the New RAI Guidance Impacts Falls with Major Injury Reporting in Indiana SNFs | Nursing helping man with woman nearby

How the New RAI Guidance Impacts Falls with Major Injury Reporting in Indiana SNFs

Effective October 1, 2025 | CMS RAI Manual v1.20.1 The Centers for Medicare & Medicaid Services (CMS) has released the final version of the Minimum Data Set (MDS) 3.0 Resident Assessment […]

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CMS Launches New MDS Audits for SNFs

CMS Launches New MDS Audits for SNFs

The Centers for Medicare & Medicaid Services (CMS) will be initiating new Minimum Data Set (MDS) audits through iQIES. Understanding the Skilled Nursing Facility (SNF) Validation Program and its requirements […]

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Therapy Compliance in SNFs: What Administrators Need to Know | Nurses working with elderly in skilled nursing facility physical therapy room

Therapy Compliance in SNFs: What Administrators Need to Know (Part Two)

Physical, occupational, and speech therapy services are vital in skilled nursing facilities (SNFs) for resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must navigate […]

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